Causes of Male Infertility

When a male produces low numbers of sperm or if the sperm does not work properly, the man becomes infertile. It is estimated that about 2 of 3 infertile men are infertile because of sperm production issues. Sperm production problems can usually be corrected through surgery or medication.

Symptoms of Infertility in Men

There are several symptoms of infertility in men. The inability to conceive a child, sexual frustration, decreased facial or body hair, and lower than normal sperm count are all common symptoms of infertility in men. Pain, swelling, or a lump in the testicle area may also be cause for concern of infertility.

Treatment Options For Infertility in NJ

Treatment options are available to help men become fertile and conceive a child. Assisted reproductive technology (ART) is a popular treatment option. ART involves obtaining sperm through normal ejaculation, surgical extraction, or from a donor. This will vary depending on the patient’s specific situation and wishes. The sperm is then inserted into the female genital tract or used to perform in vitro fertilization or intracytoplasmic sperm injection. This is advantageous for couples who are having trouble reproducing, giving them a chance to have children.

Livingston, New Jersey Varicocele Surgery

Varicocele surgery is another treatment option available. A Varicocele occurs when a man’s veins in his scrotum dilate. This may affect sperm in the testicles due to higher than normal temperatures, poor oxygen supply, and poor blood flow in the testes. A Varicocele can be treated surgically through a small incision in the abdomen close to where the testes originally descended through the abdominal wall. The veins that produce the Varicocele are eliminated to decrease blood flow to the Varicocele. While this surgery is sometimes effective in improving fertility, it is not recommended in men unless there is a large Varicocele. Side effects of the surgery included bruising, nausea, low-grade backache, infection, loss of a testicle, and hydrocele.

Gonadotropin Treatment For Infertility

Gonadotropin treatment is also used to increase sperm production. It starts with injections of hCG from three times per week to every other day, for up to six months. Blood tests are used to monitor blood testosterone levels and to adjust the dose if necessary. If sperm cells do not appear in semen after six months of treatment, recombinant human follicle stimulating hormone (rhFSH) is added; this is also administered through an injection. Many men choose this treatment to increase testosterone so they are able to produce sperm healthy enough for reproduction. The side effects and risks include hives, shortness of breath, dizziness, fainting, headache, loss of appetite, and temporary breast enlargement.

Intra-Cytoplasmic Sperm Injection For Infertility

Intra-Cytoplasmic Sperm Injection (ICSI) is a procedure that overcomes many of the barriers to fertilization and allows couples with little hope of achieving successful pregnancy to obtain fertilized embryos. The technique involves very precise maneuvers to pick up a single live sperm and inject it directly into the center of the human egg. The semen sample is prepared by spinning the sperm cells through a special medium. This solution separates live sperm from debris and most of the dead sperm. The specialist picks up the single live sperm in a glass needle and injects it directly into the egg. Side effects include missing Y Chromosome, abnormal structure of chromosomes, congenital bilateral absence of vas deferens (CBAVD), egg damage, birth defects, developmental delays, and miscarriage.

Infertility may cause a lot of stress for a couple at a time that should be exciting. The staff at Ron S Israeli MD, PC will help you to decide on the best treatment option for your specific needs.